Relief of Disabilities and Application for Restoration of Explosives Privileges

Forms and Documents

Document Name	Status
Form 1140-0076 (ATF For Relief of Disabilities and Application for Restoration of Explosives Privileges Form and Instruction	Modified
1140-0076 Amended Justification (03-2016).doc Supporting Statement A	2016-03-21
27 CFR 555.142.pdf Supplementary Document	2013-01-03

IC Document Collections

IC ID	Document Title	Status
12857	Relief of Disabilities and Application for Restoration of Explosives Privileges Form and Instruction	Modified

ICR Details

OMB Control No: 1140-0076	ICR Reference No: 201603-1140-010
Status: Historical Active	Previous ICR Reference No: 201409-1140-001
Agency/Subagency: DOJ/ATF	Agency Tracking No:
Title: Relief of Disabilities and Application for Restoration of Explosives Privileges
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/27/2016
	Date Received in OIRA: 03/28/2016
Terms of Clearance: Approved for 12 months while ATF pursues to provide an option for responding that is fully e-fillable and e-fileable. ATF may continue to also provide a manual option for those who wish to respond as such or need to supply ATF supplemental materials.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2017	36 Months From Approved	06/30/2016
Responses	300	0	231
Time Burden (Hours)	150	0	116
Cost Burden (Dollars)	0	0	0

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Abstract: ATF requires any person who is prohibited from shipping, transporting, receiving, or possessing any explosives to file for relief of disabilities. This collection of information is contained in 27 CFR 555.142.

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Authorizing Statute(s): PL: Pub.L. 107 - 296 Title XI, Subtitle C Name of Law: Safe Explosives Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 79099	12/18/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 9221	02/24/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Relief of Disabilities and Application for Restoration of Explosives Privileges	1140-0076 (ATF Form 5400.29)	Application for Restoration of Explosives Privileges

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	300	231	0	69	0	0
Annual Time Burden (Hours)	150	116	0	34	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Based on current trends, the Program Office increased the number of estimated annual responses to this collection.

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Annual Cost to Federal Government: $420

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 03/28/2016

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